Abstract
Objetivo: Conhecer a realidade dos enfermeiros no cuidado de enfermagem à pessoa com ferida oncológica de cabeça e pescoço. Métodos: Estudo exploratório descritivo com abordagem qualitativa. A entrevista semiestruturada ocorreu em julho de 2017 com 12 enfermeiros de um centro de referência oncológica do sul do Brasil. Os dados foram submetidos à análise temática proposta por Minayo. Resultados: Os enfermeiros realizam um cuidado integral com olhar ampliado baseado nos conhecimentos científicos para escolher uma adequada terapêutica no tratamento da ferida. A educação permanente e a existência da equipe especializada facilitam a prática. Já as dificuldades, quando aparecem, envolvem a escolha terapêutica, a continuidade do tratamento domiciliar e o controle dos sintomas da ferida oncológica. Os enfermeiros reconhecem seu trabalho como essencial, gratificante e satisfatório por trazer melhora da qualidade de vida às pessoas. Conclusão: O objetivo do estudo foi alcançado, destacando-se o papel essencial do enfermeiro e os benefícios da educação permanente. Reafirma-se que uma equipe especializada e uma enfermeira estomaterapeuta são fundamentais para a qualidade e resolutividade do cuidado de enfermagem para as feridas oncológicas.
Highlights
Head and neck cancer consists of the process of mutation or abnormal activation of genes that control cell growth and division, causing them to occur disorderly in the region[1], especially a ecting the face, oral cavity, pharynx, larynx, the nasal cavity, the paranasal sinuses, the thyroid, salivary glands and soft tissues of the neck[2,3]
The research consists in one of the stages of the project “ e accomplishment of the healing in the care of the person with head and neck oncological wound: an approach to the permanent education of nurses”, approved by the Human Research Ethics Committee of the Federal University of Santa Catarina under opinion no. 2.054.577 and CAAE no. 67488117.4.0000.0121 in conjunction with the Research Ethics Committee of Cepon under opinion no. 2.098.737 and CAAE no. 67488117.4.3001.5355, and the determinations of Resolution no. 466/2012 of the National Health Council regarding research with human beings. e research only happened after clari cation on the general information of the project and the signing of the Term of Free and Informed Consent (TFIC) by the participants
It is noticed that the nurse, in its care practice, must follow some principles to base its therapeutic choices during the accomplishment of the healing for person with head and neck oncological wound. erefore, scienti c knowledge and clinical reasoning should be used to observe and evaluate the characteristics of the wound to choose the appropriate therapeutic product, considering the availability of materials o ered by the service institution
Summary
Head and neck cancer consists of the process of mutation or abnormal activation of genes that control cell growth and division, causing them to occur disorderly in the region[1], especially a ecting the face, oral cavity, pharynx, larynx, the nasal cavity, the paranasal sinuses, the thyroid, salivary glands and soft tissues of the neck[2,3]. The nurse, needs to act based on up-todate knowledge according to the technological advances of the products available in the market, considering the characteristics of the wound and the clinical history It can choose the appropriate therapy and, o er better quality in the care and improvement of the quality of life of these patients[6,7,10]. Us, the research question consists of: what is the reality of nurses in nursing care for people with head and neck cancer in an oncology reference center?
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